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Final ruleTook effect Oct. 1, 2026

Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027

Built by the Tribune's code from the Federal Register. No AI wrote this page. Published in the Federal Register July 31, 2026. Document 2026-15562. Updated Nov. 7, 2026.

What it does

This final rule finalizes changes and updates to the policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for fiscal year (FY) 2027. This final rule also updates the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program.

The Centers for Medicare & Medicaid Services's summary, as published in the Federal Register.

What changed in the regulation

1 part of Title 42 of the Code of Federal Regulations:

42 CFR 413

Wording on eCFR: the day before it took effect and from the day it took effect (first part listed).

Compared with

The Centers for Medicare & Medicaid Services has published 24 final rules in 2026 so far, compared with 12 in all of 2025.

Counted by the Tribune from Federal Register records since Jan. 1, 2025.

What happens next and when

These regulations are effective on October 1, 2026.

The agency's dates, word for word.

Document number2026-15562
ActionFinal rule.
AgenciesHealth and Human Services Department; Centers for Medicare & Medicaid Services
PublishedJuly 31, 2026
Effective dateOct. 1, 2026
Regulation identifier (RIN)0938-AV75
DocketCMS-2026-1321

Source: the Federal Register (public domain). The document in the Federal Register